NPIMap

Organization Active NPI

Jody Dale Papazekos OD

  • Optometrist
  • Hickory, NC
National Provider Identifier
1144372483
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1670 Issued in NC
Legal business name
JODY DALE PAPAZEKOS OD
Practice address
27 13TH Ave NE
Hickory, NC 28601-3766
Phone
(828) 322-3154
Fax
(828) 322-3154
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jody Dale Papazekos, O. D.NPI 1730286980
Title
Owner, Physican
Phone
(828) 322-3154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1670 NC Primary

Addresses

Primary practice location

27 13TH Ave NE
Hickory, NC 28601-3766

Mailing address

27 13TH Ave NE
Hickory, NC 28601-3766
Phone (828) 322-3154

Other identifiers 3

IdentifierTypeStateIssuer
890917MMedicaidNC
119986000OtherNCDMERC PROVIDER NUMBER
0917MOtherNCBCBS PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1144372483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 13TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013766",
            "telephone_number": "828-322-3154",
            "fax_number": "828-322-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 13TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013766",
            "telephone_number": "828-322-3154",
            "fax_number": "828-322-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY DALE PAPAZEKOS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "PAPAZEKOS",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER, PHYSICAN",
        "authorized_official_telephone_number": "828-322-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890917M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PROVIDER NUMBER",
            "identifier": "119986000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0917M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.